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Project Number: 118-010A <br />DEPARTMENT OF PUBLIC <br />WORKS DIVISION OF <br />ENGINEERING <br />Project Name: . <br />DATE INITIATED: 7/15/2019 BPW DATE <br />Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.). <br />• Cost for pipe repair: $14,043.70 <br />Historic Leeper Park Improvements Change Order #: 2 <br />• Cost for bench quantity adjustment: $9,740.40 <br />* $25,587 60 (12 backed benches) - $15,847 20 (8 backless benches) <br />0 Fountain completion date extended to 8/9/2019 due to delayed delivery of electric panel and <br />unforeseen fountain -assembly faults. <br />Attachments: (List documents support change — required) <br />Amount of C Increase/ ❑Decrease: $ 23,784.10 <br />Previously approved Change Order(s): $ 13,883.94 <br />Current Percent of Change: 1.80 % <br />New Total Amount: $ 1,345,797.07 <br />Total Percent of Change: 2.88 <br />Categories (Pick One): <br />fl Scope of Work <br />❑ Differing Site Conditions, Changed Conditions <br />❑ Conflicted Specifications and Drawings <br />❑ Failed Materials <br />❑ Error <br />❑ Omission <br />❑ Final Quantity Adjustment <br />Funding Secured From: r'++ITITmmmmmmITITITITIT . -Il i ' c� <br />(filled out by PM) <br />RECOMMENDED BY: <br />_..... _ ........ _ _ _ _..._ _ _. ..... .?.-..... -� <br />Project Inspector (Print Name) ;gnature) (Date) <br />REVIEWED BY: <br />Construction Manager (Print Name) <br />APPROVED BY: <br />....-Al <br />Engineering Project Manager (Print Name) <br />APPROVED BY: <br />City Engineer (Pr� � int N me) <br />(Signature) <br />(Date) <br />(Sign r�) (Date) <br />................. _..... 7AV <br />(Signatur) (Dane) <br />